New Hampshire Senate Bill SB136

New Hampshire 2026 Regular Session

• Introduced: 1/22/25
• Refer: 1/22/25
• Refer: 3/7/25
• Refer: 3/13/25
• Refer: 10/22/25

Caption

Establishing an uncompensated care assessment, fund, and committee within the department of insurance.

Impact

The bill will have a notable impact on New Hampshire's healthcare system by establishing a dedicated funding source for uncompensated care. In 2023, the state reported an uninsured rate of approximately 4.7% and estimated combined medical expenditures of roughly $11.75 billion, indicating a robust need for such support. However, financial assessments associated with this fund could increase expenses for participating insurance providers and self-insured entities, potentially leading to increased operating challenges for these entities within the state's healthcare market. Additionally, the State itself, being a self-insured employer, may face substantial fiscal impacts as it will now bear the burden of these assessments for its own health plans.

Summary

Senate Bill 136 establishes an Uncompensated Health Care Fund within the New Hampshire Department of Insurance, aiming to support providers that deliver medically necessary care to uninsured individuals. The fund will be financed through assessments levied on licensed health insurance carriers, reinsurers, and specific self-insured plans, which will not allow the recovery of these costs through increases to premiums or cost-sharing for consumers. This legislative move underscores the pressing need for sustainable financial mechanisms in handling uncompensated medical care costs, which have grown as a significant fiscal burden on health care providers across the state.

Contention

There are several areas of concern associated with SB136. Stakeholders, including insurance providers and health care advocates, have expressed worries about restricting the ability to pass these costs onto consumers, which could lead to diminished profit margins for insurers. There is also concern that these fiscal models and additional regulatory burdens may deter some insurers from remaining in the New Hampshire market altogether, thereby reducing competition and access to affordable healthcare options. The bill's implementation timeline and the scope of administration responsibilities for the Department of Insurance further add to the complexity surrounding fiscal planning and execution of the fund, with potential uncertainties affecting healthcare availability and outcomes across various communities.